Category: Public Health (Page 1 of 6)

The mood in New South Wales State Supreme Court was somber that early June day in 2009. Seven years earlier a little girl of nine-months from Earlwood, Sydney, had died under tragic circumstances, and in the dock for medical negligence were her Indian immigrant parents, Mrs. Manju and Thomas Sam. The jury heard, from experts and other witnesses, how baby Gloria Thomas suffered from significant malnutrition early in her short life, which compromised her immunity; how she was diagnosed with eczema at four months, and through her broken skin, disease-causing bacteria entered her bloodstream, attacking her lungs and one eye; and how throughout the entire, extremely painful ordeal, her father—a homeopath—steadfastly, repeatedly refused medical care, electing instead to treat her with one homeopathic remedy after another, until she passed away. The jury returned a verdict of manslaughter, and the judge sentenced the couple to up to 8 years in prison.[1]

It has been a while since I last posted on homeopathy. Frankly speaking, having written about it quite a bit, I have grown kinda tired of the utterly unscientific, nonsensical nature of homeopathy, and foolishness of its relentless proponents. However, a few days ago on Twitter, my attention was brought to a whole new level of ridiculousness in this quackery modality, and I found it concerning anew because of what it implies for the hapless, gullible and vulnerable patients desperately seeking medical care. Today’s short post touches on this.

Oh the humanity of it all! Back in November I had written about the decidedly weird chemophobia around Sodium Benzoate being promoted by Panera Bread, one of my favorite bakery and soup-salad places in the US. As I wrote, my wife and I love to eat there, but its anti-science, pro-pseudoscience stance on this issue was profoundly disappointing. Well, three-quarters of a year later, it turns out they are still assiduously at it.

I love the café/bakery eatery chain Panera Bread. Ever since I was introduced to them in 2003, my wife and I have frequented this establishment in many different cities of the US, finding with delight that our trust in their food quality and quantity has not been misplaced. We love their menu items, soups and sandwiches – even some of their seasonal salad offerings (and that’s saying something, because neither of us is a very salad-y person). My wife is particularly keen on their Chai Tea Latté. Their bakery is excellent, not to mention the delicious breads they make, which can be bought separately. So imagine my consternation, when on a recent visit, I discovered that they appear to be peddling some weapons-grade bullshit about chemicals and additives in food.

A recently published paper, with the outcomes of a collaborative European Randomized Controlled Trial (RCT) undertaken in Germany and Ukraine, is making waves amongst jubilant homeopaths as yet another evidence supporting their long-held belief in the clinical effectiveness of homeopathy. Naturally, this 2016 paper in the Journal Global Pediatric Health by van Haselen et al. piqued my curiosity and I dove in to see what the hullabaloo was all about.

Feel like a sneeze or cough coming on? Cover it in a cloth or tissue paper, or even your sleeves, and wash your hands, admonishes the Centers for Disease Control and Prevention (CDC) — and for good reasons, too! Microbial pathogenic agents of a variety of respiratory illnesses, both viral [ranging from the common cold (rhinovirus); influenza (orthomyxovirus); parainfluenza viruses, respiratory syncytial virus (RSV), and human metapneumovirus (all paramyxoviruses); severe acute respiratory syndrome (SARS-Coronavirus)] as well as bacterial [such as those responsible for pneumonia (Streptococcus pneumoniae), whooping cough (Bordetella pertussis), and tuberculosis (Mycobacterium tuberculosis)] are often transmitted by cough, sneeze, and/or unclean hands/palms carrying these germs on their surfaces.

Growing up in the Eastern part of India, I was subject to a most peculiar cultural phenomenon known as “ThanDa lege jaabe” (ঠাণ্ডা লেগে যাবে in the vernacular, translated as: You’ll catch a cold). This odd concept, most beloved of the mothers in that region and handed down generations after generations, would teach them that any vagary of the sub-tropical weather — sun, rain, autumnal zephyrs, wet and foggy riparian winters, and everything in between — was liable to cause acute upper respiratory tract infections (uRTIs), characterized by runny nose, cough and sneeze, perhaps even progressing to pharyngitis, laryngitis or tracheobronchitis. And the most feared symptom was elevated body temperature, or fever.

Currently one of the most common disease-causing bacterium in the world, Acinetobacter baumannii, for sure, is a nasty bug — an emerging nosocomial (hospital-associated) pathogen, being increasingly observed in serious conditions requiring intensive care (including ventilator-associated pneumonia, sepsis, meningitis, wound infection and urinary tract infection). Unfortunately for patients, particularly immune-suppressed ones, this bug is now known to be extensively drug resistant (XDR; resistant to most antibiotics including carbapenems, with the exception of two drugs of last resort, colistin and tigecycline), with a smaller proportion resistant to even these two (known as pan-drug resistant, PDR, which are therefore virtually untreatable with the current crop of FDA-approved medications).